Careful perioperative management including blood pressure control, spironolactone, and potassium correction allows for safe adrenalectomy in patients with Conn syndrome.
Supports feasibility of adrenalectomy in Conn syndrome with optimized perioperative care; leaves open confirmation in larger prospective studies.
Conn syndrome is characterized by increased secretion of aldosterone. Hyperaldosteronism induces sodium and water retention, hypertension, decreased potassium blood level, muscle weakness, and fatigue. The diagnosis is usually confirmed by decreased renin level, increased aldosteron level, hypokalemia, and imagining tools. Perioperative care consists on blood pressure and hypervolemia control, spironolactone administration, and preoperative potassium correction. We present a case scheduled for left adrenalectomy for Conn syndrome, 5 years after the right adrenalectomy was performed. The surgery and postoperative period were uneventful and the patient was discharged in 6-th postoperative day referring to the endocrinologist. A good cooperation between the anesthesiologist, endocrinologist, and surgeon is strongly recommended.
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Arber Jano (2014) studied this question.
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